Health Care Utilization and Attitudes Survey: understanding diarrheal disease in rural Gambia.

TitleHealth Care Utilization and Attitudes Survey: understanding diarrheal disease in rural Gambia.
Publication TypeJournal Article
Year of Publication2013
AuthorsSaha D, Akinsola A, Sharples K, Adeyemi MO, Antonio M, Imran S, Jasseh M, Hossain MJ, Nasrin D, Kotloff KL, Levine MM, Hill PC
JournalThe American journal of tropical medicine and hygiene
Volume89
Issue1 Suppl
Pagination13-20
Date Published2013 Jul
Abstract

Diarrheal disease causes ∼1.34 million deaths per year among children under 5 years of age globally. We conducted a Health Care Utilization and Attitudes Survey of 1,012 primary caregivers of children aged 0-11, 12-23, and 24-59 months randomly selected from a Demographic Surveillance population in rural Gambia. Point prevalence of diarrhea was 7.7% (95% confidence interval [CI] = 6.1-9.8); 23.3% had diarrhea within the previous 2 weeks. Caregivers of 81.5% of children with diarrhea sought healthcare outside their home, but only 48.4% of them visited a health center. Only 17.0% (95% CI = 12.1-23.2) of children with diarrhea received oral rehydration solution (ORS) at home. Abbreviated surveys conducted on six occasions over the subsequent 2 years showed no change in prevalence or treatment-seeking behavior. Diarrhea remains a significant problem in rural young Gambian children. Encouraging care-seeking behavior at health centers and promoting ORS use can reduce mortality and morbidity in this population.

DOI10.1002/stem.1408
Alternate JournalAm. J. Trop. Med. Hyg.